A 47-year-old male patient was admitted to the gastroenterology ward with a 3-day history of melena. The physical examination revealed no symptoms of peritonitis, such as abdominal pain or fever. Abdominal CT demonstrated a high-density shadow in the greater curvature of the stomach (Fig. 1A). Subsequent endoscopic evaluation identified a sinus in the greater curvature of the upper gastric body, from which blood flowed and bubbles were visible after repeated irrigation (Fig. 1B). The patient later stated that he had a splenectomy plus portal vein disconnection more than one year ago.
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Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.